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  5. Maxillofacial and Oral Surgery, P.A.

Maxillofacial and Oral Surgery, P.A.

Company Details

Name: Maxillofacial and Oral Surgery, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 01 Jul 1977 (47 years ago)
Company Number: 74d280d1-b9d4-e011-a886-001ec94ffe7f
File Number: 2Z-1031
Registered Office Address: 2854 Hwy 55 #130, Eagan, MN 55121, USA
Principal Executive Office Address: 2854 Highway 55 #130, Eagan, MN 55121, USA
ZIP code: 55121
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAXILLOFACIAL AND ORAL SURGERY, P.A. RESTATED PROFIT SHARING PLAN TRUST 2014 411305512 2015-04-13 MAXILLOFACIAL AND ORAL SURGERY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-07-01
Business code 541990
Sponsor’s telephone number 6512244930
Plan sponsor’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447

Plan administrator’s name and address
Administrator’s EIN 411305512
Plan administrator’s name MAXILLOFACIAL AND ORAL SURGERY, P.A.
Plan administrator’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447
Administrator’s telephone number 6512244930

Signature of
Role Plan administrator
Date 2015-04-13
Name of individual signing JEFF GUENTHER
Valid signature Filed with authorized/valid electronic signature
MAXILLOFACIAL AND ORAL SURGERY, P.A. RESTATED PROFIT SHARING PLAN TRUST 2013 411305512 2014-07-10 MAXILLOFACIAL AND ORAL SURGERY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-07-01
Business code 541990
Sponsor’s telephone number 6512244930
Plan sponsor’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447

Plan administrator’s name and address
Administrator’s EIN 411305512
Plan administrator’s name MAXILLOFACIAL AND ORAL SURGERY, P.A.
Plan administrator’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447
Administrator’s telephone number 6512244930

Signature of
Role Plan administrator
Date 2014-07-10
Name of individual signing JEFF GUENTHER
Valid signature Filed with authorized/valid electronic signature
MAXILLOFACIAL AND ORAL SURGERY, P.A. RESTATED PROFIT SHARING PLAN TRUST 2012 411305512 2013-07-23 MAXILLOFACIAL AND ORAL SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-07-01
Business code 541990
Sponsor’s telephone number 6512244930
Plan sponsor’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447

Plan administrator’s name and address
Administrator’s EIN 411305512
Plan administrator’s name MAXILLOFACIAL AND ORAL SURGERY, P.A.
Plan administrator’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447
Administrator’s telephone number 6512244930

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing JEFF GUENTHER
Valid signature Filed with authorized/valid electronic signature
MAXILLOFACIAL AND ORAL SURGERY, P.A. RESTATED PROFIT SHARING PLAN TRUST 2011 411305512 2012-07-20 MAXILLOFACIAL AND ORAL SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-07-01
Business code 541990
Sponsor’s telephone number 6512244930
Plan sponsor’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447

Plan administrator’s name and address
Administrator’s EIN 411305512
Plan administrator’s name MAXILLOFACIAL AND ORAL SURGERY, P.A.
Plan administrator’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447
Administrator’s telephone number 6512244930

Signature of
Role Plan administrator
Date 2012-07-20
Name of individual signing JEFF GUENTHER
Valid signature Filed with authorized/valid electronic signature
MAXILLOFACIAL AND ORAL SURGERY, P.A. RESTATED PROFIT SHARING PLAN TRUST 2010 411305512 2011-05-11 MAXILLOFACIAL AND ORAL SURGERY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-07-01
Business code 541990
Sponsor’s telephone number 6512244930
Plan sponsor’s DBA name URGERY,P.A.
Plan sponsor’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447

Plan administrator’s name and address
Administrator’s EIN 411305512
Plan administrator’s name MAXILLOFACIAL AND ORAL SURGERY, P.A.
Plan administrator’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447
Administrator’s telephone number 6512244930

Signature of
Role Plan administrator
Date 2011-05-11
Name of individual signing ROBERT BERGSTROM
Valid signature Filed with authorized/valid electronic signature
MAXILLOFACIAL AND ORAL SURGERY, P.A. RESTATED PROFIT SHARING PLAN TRUST 2009 411305512 2010-07-19 MAXILLOFACIAL AND ORAL SURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-07-01
Business code 541990
Sponsor’s telephone number 6512244930
Plan sponsor’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447

Plan administrator’s name and address
Administrator’s EIN 411305512
Plan administrator’s name MAXILLOFACIAL AND ORAL SURGERY, P.A.
Plan administrator’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 551211447
Administrator’s telephone number 6512244930

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing ROBERT BERGSTROM
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
James Q Swift Chief Executive Officer 2854 Highway 55 #130, Eagan, MN 55121, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1994-06-21
Business Corporation (Domestic) Business Name (Business Name: Maxillofacial and Oral Surgery, P.A.) 1981-12-07
Business Corporation (Domestic) Active Status Report 1979-12-12
Business Corporation (Domestic) Business Name (Business Name: Daniel E. Waite, D.D.S., and Associates, P.A.) 1978-03-21
Original Filing - Business Corporation (Domestic) 1977-07-01
Business Corporation (Domestic) Business Name (Business Name: Oral Surgery, P.A.) 1977-07-01

Related by officers

No related officers

Related by address

2854 Hwy 55 #130, Eagan, MN 55121, USA

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2854 Highway 55 #130, Eagan, MN 55121, USA

Mark W. Erhard, M.D., P.A.

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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